Insulin kuramba: izvo zvazviri, bvunzo, zvinokonzera uye kurapwa

Zvemukati

• Bvunzo dzinobatsira kuziva
• 1. Oral glucose kusawirirana bvunzo (TOTG)
• 2. Kutsanya glucose bvunzo
• 3. HOMA indekisi
• Zvinogona kukonzera insulin kudzivisa
• Kurapwa kunoitwa sei

Iyo insulini yekudzivirira chirwere inoitika kana chiito chehomoni iyi, chekutakura iyo glucose kubva muropa ichiuya mumasero, chadzikira, zvichikonzera iyo glucose kuti iungane muropa, zvichikonzera chirwere cheshuga.

Insulin kudzvinyirira kunowanzo kukonzerwa nekubatanidzwa kwehunhu hunokanganisa pamwe nezvimwe zvirwere uye maitiro emunhu, senge kufutisa, kusaita muviri uye kuwedzera cholesterol, semuenzaniso. Insulin kuramba kunogona kuonekwa kuburikidza nekuongororwa kweropa kwakasiyana, senge yeropa glucose bvunzo, iyo HOMA index kana yemumuromo glucose shiviriro bvunzo.

Ichi chirwere chimiro che pre-chirwere cheshuga, nekuti kana ikasarapwa uye kugadziriswa, nekudzora chikafu, kuonda uye kuita kwemuviri, inogona kushanduka kuva rudzi rwechipiri chirwere cheshuga.

Bvunzo dzinobatsira kuziva

Insulin kudzvinyirira hakuwanzo kukonzera zviratidzo, saka kwakasiyana kuongororwa kweropa kunogona kuitwa kusimbisa kuongororwa:

1. Oral glucose kusawirirana bvunzo (TOTG)

Iyi bvunzo, inozivikanwawo sekuongorora iyo glycemic curve, inoitwa nekuyera kukosha kweglucose mushure mekumedza ingangoita 75 g yemvura ine shuga. Kududzirwa kwebvunzo kunogona kuitwa mushure maawa maviri, seinotevera:

• Zvakajairika: asingasviki 140 mg / dl;
• Insulin kuramba: pakati pe140 ne199 mg / dl;
• Chirwere cheshuga: zvakaenzana kana kupfuura 200 mg / dl.

Sezvo insulin kushomeka ichiwedzera, kuwedzera kune iro glucose iri kuwedzerwa mushure mekudya, inowedzerwawo mukutsanya, nekuti chiropa chinoedza kubhadhara kushomeka kweshuga mukati memasero. Naizvozvo, iyo yekutsanya glucose bvunzo inogona zvakare kuitwa.

Ona zvimwe zvakawanda nezve yemumuromo glucose kusa tsungirira bvunzo.

2. Kutsanya glucose bvunzo

Muedzo uyu unoitwa mushure memaawa masere kusvika gumi nemaviri ekutsanya, uye muyero weropa unounganidzwa wozoongororwa murabhoritari. Iwo mareferenzi kukosha ndeaya:

• Zvakajairika: asingasviki 99 mg / dL;
• Kuchinja kutsanya glucose: pakati pe100 mg / dL uye 125 mg / dL;
• Chirwere cheshuga: yakaenzana kana yakakura kudarika 126 mg / dL.

Munguva ino, mazinga eglucose achiri kugona kudzorwa, nekuti muviri unosimudzira rwatata kuburitsa yakawandisa insulini, kutsiva kuramba kwechiito chayo.

Tarisa uone kuti iyo yekutsanya yeropa glucose bvunzo inoitwa sei uye maitiro ekunzwisisa mhedzisiro.

3. HOMA indekisi

Imwe nzira yekuongorora insulin kushora ndeyekuverenga iyo HOMA index, inova kuverenga kunoitwa kuongorora hukama pakati pehuwandu hweshuga uye huwandu hwe insulin muropa.

Izvo zvakajairika kukosha kweiyo HOMA index iri, kazhinji, seinotevera:

• HOMA-IR Yekukosha Kukosha: asingasviki 2.15;
• HOMA-Beta Referensi Kukosha: pakati pe167 kusvika 175.

Aya mareferenzi hunhu hunosiyana neirabhoritari, uye kana munhu aine Bhora reMisa Index (BMI) rakakura kwazvo, saka, rinofanira kududzirwa nachiremba nguva dzese.

Ona zvazviri uye maitiro ekuverenga iyo HOMA index.

Zvinogona kukonzera insulin kudzivisa

Iyi syndrome, kazhinji, inowanikwa kune vanhu vanotova nehutachiona, kana vaine dzimwe nhengo dzemhuri dzakambove kana vane chirwere cheshuga, semuenzaniso.

Nekudaro, inogona kukura kunyangwe muvanhu vasina njodzi iyi, nekuda kwemaitiro ehupenyu anokonzeresa kuparara kwemetabolism, sekufutisa kana kuwanda kwemimba mudumbu, kudya neakawandisa makabhohaidhiretsi, kusaita basa, kuwedzerwa kweropa kana kuwedzera cholesterol uye triglycerides.

Uye zvakare, shanduko yehormone, kunyanya mumadzimai, inogona zvakare kuwedzera mikana yekukudziridza insulin kudzvinyirira, sevakadzi vane polycystic ovary syndrome, kana PCOS. Mune vakadzi ava, shanduko dzinotungamira mukusaenzana kwemwedzi uye kuwedzerwa uyerogenic mahormone zvakare anokonzeresa kudzikisira kwe insulin kushanda.

Kurapwa kunoitwa sei

Kana kurapwa kwakaringana kweiyo insulin kudzvinyirira kunoitwa, kunogona kurapwa uye nekudaro kudzivirira kukura kweshuga. Kurapa mamiriro aya, nhungamiro kubva kune mukuru wezvechiremba kana endocrinologist inodiwa, uye inosanganisira kurasikirwa uremu, kuita kudya uye kuita kwekuita uye kuongorora mwero wehuga yeropa, nekutarisisa kwekurapa kwemwedzi mitatu kana mitanhatu. Ona kuti chikafu chinofanirwa kuve chei kune avo vane pre-diabetes.

Chiremba anogona zvakare, mune zviitiko zvekuwedzera njodzi yechirwere cheshuga, kuraira mishonga senge metformin, unova mushonga unobatsira kudzora kugadzirwa kweshuga nechiropa uye nekuwedzera kunzwisisika kune insulin, nekuda kwekuwedzera kweshuga nemhasuru. Nekudaro, kana munhu wacho akaomarara pakurapwa nedhayeti uye nekurovedza muviri, kushandisa mishonga kunogona kunge kusiri kudikanwa.